J Med Assoc Thai 2018; 101 (7):191

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Patients’Characteristics and Treatment Outcomes of Epilepsy Clinic Team: Experiences from University Hospital
Lertsinudom S Mail, Buranadilok S , Chainirun N , Tiamkao S

Objective: Epilepsy Clinic, Srinagarind Hospital, has served people by multidisciplinary team since 2005. Studying patients’ characteristics and service outcomes will contribute to more effective care.
Materials and Methods: Analyzed data on epilepsy patients who were treated at the Epilepsy Clinic at Srinagarind Hospital
from January 1, 2011 to December 31, 2011 from outpatient medical records and pharmacy care programs.
Results: of 459, data from 382 epilepsy patients were completely collected. The data were as follows: patients’ ages were 15 to 83 years with mean age of 40.40+0.80 years; most were females (51.05%);most completed at least higher education (30.89%);most were married (55.76%); most used universal national health insurance (52.90%);average age at the onset of epilepsy was 30.87+1.04 year; average time for epilepsy treatment was 8.55+0.46 years; average time of treatment at Epilepsy Clinic was 2.60+1.10 years. 75.40 percent of the patients had a brain scan with computed tomography scan or magnetic resonance imaging [MRI], and 47.90 percent was found abnormal. 55.80 percent did electroencephalography [EEG] and positive result accounted for 79.80%. The first three types of epilepsy were generalized tonic-clonic seizures (59.40%), complex partial seizure (41.40%), and simple partial seizure (10.50%). Most of the patients treated with antiepileptic drugs, poly-therapy (55.90%) and mono-therapy (40.10%). Mostly used drugs were Phenytoin (44%), followed by Sodium valproate (40.40%). The average frequency of seizures was 7.50+0.70 times per month and free seizure was found at 55.50%.
Conclusion: The study provided general information on the patients and treatment including overall treatment outcomes.
Therefore, further studies should be conducted to understand the factors involved in seizure control.

Keywords: Epilepsy, Epilepsy Clinic, Characteristics, Outcomes


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